Individual provider · Type 1 NPI

Jacob Jebediah Slosar

Behavior Analyst · Portland, OR

NPI number 1619675956 Active

Practice location

121 South West Salmon Street, 11th Floor
Portland, OR 97204-0000

Fax (772) 675-9100

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000XABA-B-10275488 (OR)
Behavior Technician 106S00000XABA-IN-10230483 (OR)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1619675956

Jacob Jebediah Slosar's National Provider Identifier is 1619675956, issued on Feb 16, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Portland, OR. The record was last updated on Oct 30, 2026.